Practice A Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
What is the priority action when a client with asthma experiences sudden shortness of breath and
wheezing?
✔✔ Administer a short-acting beta-agonist inhaler (e.g., albuterol)
What is the most appropriate nursing action when caring for a client with a new AV fistula for
hemodialysis?
✔✔ Auscultate for a bruit and palpate for a thrill over the fistula site
What finding indicates a possible complication in a client with a chest tube for pneumothorax?
✔✔ Tracheal deviation away from the affected side
What is an early sign of hypoxia in a postoperative client?
✔✔ Restlessness
1
,What lab value should be closely monitored in a client taking furosemide?
✔✔ Potassium
What is the priority action if a nurse notices a central line dressing is wet and loose?
✔✔ Replace the dressing using sterile technique
What does a high BUN and creatinine level usually indicate in a medical-surgical client?
✔✔ Impaired kidney function
What is the most common complication of immobility that nurses should try to prevent?
✔✔ Deep vein thrombosis (DVT)
What is the best way to verify correct placement of a nasogastric (NG) tube before starting tube
feeding?
✔✔ X-ray confirmation
What is the priority nursing intervention for a client experiencing chest pain and ST elevation on
ECG?
2
, ✔✔ Administer oxygen and notify the provider immediately
What is a sign of digoxin toxicity that should be reported?
✔✔ Yellow-tinged vision
What is the best indicator of effective pain management in a client receiving opioids?
✔✔ Client reports pain relief and shows relaxed body posture
What instruction should the nurse give to a client using a metered-dose inhaler (MDI)?
✔✔ Shake the inhaler and hold breath for 10 seconds after inhaling
What does a client with Cushing’s syndrome often exhibit?
✔✔ Moon face and truncal obesity
What position is best for a client receiving enteral feedings through a PEG tube?
✔✔ Semi-Fowler’s (30 to 45 degrees)
What is an appropriate action when a client with type 2 diabetes shows signs of hypoglycemia?
3